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SSA RIN: 0960-AH51 Publication ID: Fall 2016 
Title: Revisions to Rules Regarding the Evaluation of Medical Evidence 
Abstract:

We are proposing several revisions to our medical evidence rules. The proposals include redefining several key terms related to evidence, revising our list of acceptable medical sources (AMS), revising how we consider and articulate our consideration of medical opinions and prior administrative medical findings, revising who can be a medical consultant (MC) and psychological consultant (PC), revising our rules about treating sources, and reorganizing our evidence regulations for ease of use. These proposed revisions would conform our rules with the requirements of the Bipartisan Budget Act of 2015 (BBA), reflect changes in the national healthcare workforce and in the manner that individuals receive primary medical care, simplify and reorganize our rules to make them easier to understand and apply, allow us to continue to make accurate and consistent decisions, and emphasize the need for objective medical evidence in disability and blindness claims.

 
Agency: Social Security Administration(SSA)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 20 CFR 404.1502    20 CFR 404.1512    20 CFR 404.1520b    20 CFR 404.1521 to 404.1523    20 CFR 404.1526 and 404.1527    20 CFR 404.1530    20 CFR 404.1546    20 CFR 416.902    20 CFR 416.912    20 CFR 416.920b    20 CFR 416.921 to 416.923    20 CFR 416.926 and 416.927    20 CFR 416.930    20 CFR 416.946   
Legal Authority: 42 U.S.C. 405(a)    42 U.S.C. 423(d)(5)(A)    42 U.S.C. 902(a)(5)    42 U.S.C. 1010(a)    42 U.S.C. 1382c(a)(3)(H)(i)    42 U.S.C. 1382c(a)(3)(H)(i)    Bipartisan Budget Act of 2015, section 832   
Legal Deadline:  None

Statement of Need:

These revisions would simplify and reorganize our rules to make them easier to understand and apply, allow us to make more accurate and consistent decisions, and emphasize the need for objective medical evidence in disability and blindness claims under titles II and XVI of the Social Security Act.

Summary of the Legal Basis:

Administrative--not required by statute or court order.

Alternatives:

Undetermined at this time.

Anticipated Costs and Benefits:

Undetermined at this time.

Risks:

Undetermined at this time.

Timetable:
Action Date FR Cite
NPRM  09/09/2016  81 FR 62559   
NPRM Comment Period End  11/08/2016 
Final Action  01/00/2017 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: Yes 
Public Comment URL: www.regulations.gov  
RIN Data Printed in the FR: No 
Agency Contact:
William P. Gibson
Social Insurance Specialist, Regulations Writer
Social Security Administration
Office of Regulations and Reports Clearance, 6401 Security Boulevard,
Baltimore, MD 21235-6401
Phone:410 966-9039
Email: william.gibson@ssa.gov

Joshua Silverman
Technical Expert
Social Security Administration
Office of Disability Policy, 6401 Security Boulevard,
Baltimore, MD 21235-6401
Phone:410 594-2128
Email: joshua.silverman@ssa.gov

Cheryl Williams
Office Director
Social Security Administration
Office of Disability Policy, 6401 Security Boulevard,
Baltimore, MD 21235-6401
Phone:410 966-4163
Email: cheryl.a.williams@ssa.gov